| Alan Antonelli M.D. PC | |
|
18904 Union Tpke Fresh Meadows NY 11366-1862 | |
| (718) 217-1414 | |
| (718) 217-1669 |
| Full Name | Alan Antonelli M.D. PC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 18904 Union Tpke, Fresh Meadows, New York |
| Authorized Official Name and Position | Alan Antonelli (PRESIDENT) |
| Authorized Official Contact | 7182171414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Antonelli M.D. PC 18904 Union Tpke Queens Fresh Meadows NY 11366-1862 Ph: (718) 217-1414 | Alan Antonelli M.D. PC 18904 Union Tpke Fresh Meadows NY 11366-1862 Ph: (718) 217-1414 |
| NPI Number | 1467826529 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467826529 | NPI | - | NPPES |
| 1063565950 | Other | NPI | |
| 132116 NEW YORK | Other | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
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